Date
Of Application :
|
Student's Name |
Enter Student Name
|
Gender
|
Select Gender |
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Date Of Birth |
*
*
|
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DOB(in words) |
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Blood Group |
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Parent |
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Category |
Select Category |
Nationality |
|
For Class / Stream
|
Select Class |
Religion |
Select Religion |
Science Stream(PCM):-
Compulsory
|
|
Select 5th & 6th
Subject |
|
Science Stream(PCB):-
Compulsory
|
|
Select 5th & 6th
Subject |
|
Commerce Stream:-
Compulsory
|
|
Select 5th & 6th
Subject |
|
Arts Stream:-
Compulsory
|
|
Select 5th & 6th
Subject |
|
Sibling Real Brother/Sister
Only, Select If Yes |
Select One |
|
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If Sibling In The Same
School,
Give Detail Of Sibling |
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Father's Name |
Enter Father's Name |
Mother's Name |
Enter Mother's Name |
Qualification |
Enter Qualification |
Qualification |
Enter Qualification |
Occupation |
Enter Occupation |
Occupation |
Enter Occupation |
CCL/Non CCL/CMPDI/Others |
Cannot Be Blank |
CCL/Non CCL/CMPDI/Others |
|
Designation |
|
Designation |
|
Monthly Income |
|
Monthly Income |
|
Office Address |
|
Office Address |
|
Mobile No.1 |
Enter Mobile No
|
Mobile No.1 |
Mobile No
|
Mobile No.2 |
|
Mobile No.2 |
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Fax No. |
|
Fax No. |
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Bus Facility |
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Present Address |
(Pls
give the Dist. Name also)
Enter Present Address |
Permanent Address |
(Pls give the Dist. Name also)Enter Permanent Address |
City |
Enter Present City |
City |
Enter Permanent City |
State |
Enter Present State |
State |
Enter Permanent State |
Nation |
|
Nation |
|
Pin Code |
Enter Pin Code |
Pin
Code |
Enter Pin Code |
Phone No. |
|
Phone No. |
|
Mobile No.1 |
|
Mobile No.1 |
|
Mobile No.2 |
|
Mobile No.2 |
|
Email Id (Login Email Id) |
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Last School
Name & Address |
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Dist :
|
Pin :
|
Year of Passing Class X. |
|
Adhar Card
Number |
|
Mode Of Payment |
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Demand Draft No.
|
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Demand Draft Date
|
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DD Amount
|
|
Issuing Bank Name |
|
Name of Board |
|
Board Roll No
|
Enter Roll No/Roll Code |
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